| NPI | 1962863381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AR OT-A 1072) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 213751) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |